DIANE M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164386

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

MOORE

Business Name

DIANE M MOORE

Original Issue Date

10/05/2005

Effective Date

02/17/2017

Expiration Date

03/31/2018

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

06/19/2018